Individual
SANDY KOPPENOL
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Credential
RPH
Contact information
Practice address
235 W 6TH ST, RENO, NV 89503-4548
(775) 770-3220
Mailing address
2820 SUNSET TER, SAN MATEO, CA 94403-3251
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP037496L
PA
Other
Enumeration date
07/20/2026
Last updated
07/20/2026
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